Mechanical properties and radiopacity of experimental glass-silica-metal hybrid composites

The Development of Filler Morphology in Dental Resin Composites: A Review

Dental resin composites (DRCs) with diverse fillers added are widely-used restorative materials to repair tooth defects. The addition of fillers brings an improvement in the mechanical properties of DRCs. In the past decade, diverse fillers have emerged. However, the change of emerging fillers mainly focuses on the chemical composition, while the morphologic characteristics changes are often ignored. The fillers with new morphologies not only have the advantages of traditional fillers (particles, fibrous filler, etc.), but also endow some additional functional characteristics (stronger bonding ability to resin matrix, polymerization resistance, and wear resistance, drug release control ability, etc.). Moreover, some new morphologies are closely related to the improvement of traditional fillers, porous filler vs. glass particles, core-sheath fibrous vs. fibrous, etc. Some other new morphology fillers are combinations of traditional fillers, UHA vs. HA particles and fibrous, tetrapod-like whisker vs. whisker and fibrous filler, mesoporous silica vs. porous and silica particles. In this review, we give an overall description and a preliminary summary of the fillers, as well as our perspectives on the future direction of the development of novel fillers for next-generation DRCs.

Nanotechnology in dentistry: Present and future perspectives on dental nanomaterials

OBJECTIVES

The number of dental nanomaterials has increased significantly over the past years. A variety of commercial dental nanomaterials are available and researched. Nevertheless, how these nanomaterials work, what makes them special and whether they are superior to traditional dental materials is not always clear to dentists and researchers. The objective of this review paper is, therefore, to give an overview of the principles of nanomaterials and basic research and applications of dental nanomaterials.

METHODS

The fundamentals of materials science of nanomaterials as well as their advantages and disadvantages are elaborated. The most important dental nanomaterials are discussed. This is mainly based on a survey of the literature and a review of the most frequently cited scientific papers in the international peer reviewed journal Dental Materials over the past five years. The developments of commercial dental nanomaterials as well as aspects of their clinical use are considered in this review.

RESULTS

Nanomaterials have unique structures and properties that distinguish them from other materials. The journal Dental Materials is the journal with the highest numbers of articles and citations on the subject of dental nanomaterials. The most frequently reported dental nanomaterials are nanocomposites, nanoparticles, antimicrobial nanomaterials and bio-mineralization systems. Hallmarks of dental nanomaterials include a set of unique properties and challenges in the preparation of these materials.

SIGNIFICANCE

By understanding the physical principles of dental nanomaterials, their strengths, limitations and their specific benefits will be better appreciated. Dental nanomaterials have potential for the future but currently do not always exhibit superior properties, for example in clinical situations.

Current perspectives regarding the application and incorporation of silver nanoparticles into dental biomaterials

INTRODUCTION

The key idea of nanotechnology is to construct and preserve functional structures by means of exploiting atoms and molecules. Nanotechnology has proven to be crucial in pharmacological medicine, tissue engineering, clinical diagnosis, long term conservation of biological tissues in a cryogenic state, protein detection, tumor destruction and magnetic resonance imaging.The aim of this paper is to review the literature on the specific characteristics of nanostructured materials, their applications and advantages that they bring to dentistry.

METHOD

We conducted an electronic scientific database research that included PubMed, Cochrane and Medline. The following keywords were used: nanotechnology, nanodentistry and silver nanoparticles. Initially 1650 original articles were retrieved from the these mentioned international databases, which were screened in detail. We included literature reviews that dealt with the comprehensive applications of nanostructured particles and silver nanoparticles in particular, in all fields of contemporary dentistry. Case reports, clinical trials, editorials and opinion letters were excluded in the first phase of our research. Fifty two articles met all the selection criteria and were ultimately selected and reviewed.

RESULTS

Nanotechnology deals with the production of various types of nanomaterials with potential applications in the field of biomedicine. Silver nanoparticles have the capacity to eliminate dental caries producing bacteria or repair teeth enamel with signs of dental decay. Nanodentistry will allow better oral health by use of nanostructured materials. Treatment opportunities that nanotechnology has to offer in contemporary dentistry include local anesthesia, permanent treatment of dental hypersensitivity, orthodontic and oral health care with nanorobotic dentifrice.

CONCLUSION

The studies that we reviewed are largely in favor of nanotechnology and nanostructured materials, highlighting their qualities and enhancements they bring to the field of dentistry. Although many of these products that benefit from silver nanoparticles properties are still expensive and exclusive, we can foresee major improvements and demand regarding dental biomaterials with nanoparticles incorporated in the near future.

Template assisted surface microstructuring of flowable dental composites and its effect on microbial adhesion properties

OBJECTIVES

Despite their various advantages, such as good esthetic properties, absence of mercury and adhesive bonding to teeth, modern dental composites still have some drawbacks, e.g., a relatively high rate of secondary caries on teeth filled with composite materials. Recent research suggests that microstructured biomaterials surfaces may reduce microbial adhesion to materials due to unfavorable physical material-microbe interactions. The objectives of this study were, therefore, to test the hypotheses that (i) different surface microstructures can be created on composites by a novel straightforward approach potentially suitable for clinical application and (ii) that these surface structures have a statistically significant effect on microbial adhesion properties.

METHODS

Six different dental composites were initially tested for their suitability for microstructuring by polydimethylsiloxane (PDMS) templates. Each composite was light-cured between a glass slide and a microstructured PDMS template. The nano-hybrid composite Grandio Flow was the only tested composite with satisfying structurability, and was therefore used for the bacterial adhesion tests. Composites samples were structured with four different microstructures (flat, cubes, linear trapezoid structures, flat pyramids) and incubated for 4h in centrifuged saliva. The bacterial adherence was then characterized by colony forming units (CFUs) and scanning electron microscopy (SEM).

RESULTS

All four microstructures were successfully transferred from the PDMS templates to the composite Grandio Flow. The CFU-test as well as the quantitative analysis of the SEM images showed the lowest bacterial adhesion on the flat composite samples. The highest bacterial adhesion was observed on the composite samples with linear trapezoid structures, followed by flat pyramids and cubes. The microstructure of dental composite surfaces statistically significantly influenced the adhesion of oral bacteria.

SIGNIFICANCE

Modifying the composite surface structure may be a clinically suitable approach to control the microbial adhesion and thus, to reduce the risk of secondary caries at dental composite restorations. Smaller composite surface structures may be useful for accomplishing this.

Comparative radiopacity of six current adhesive systems

BACKGROUND

The radiopacity of contemporary adhesive systems has been mentioned as the indication for replacement of restorations due to misinterpretation of radiographic images.

AIMS

This study aimed to evaluate the radiopacity of contemporary bonding agents and to compare their radiodensities with those of enamel and dentin.

METHODS AND MATERIALS

To measure the radiopacity, eight specimens were fabricated from Clearfil SE Bond (CF), Xeno V (XE), Adper SE Bond (ASE), Magic Bond (MB), Single Bond 2 (SB), Scotchbond Multipurpose (SM), and gutta-percha (positive control). The optical densities of enamel, dentin, the bonding agents, gutta-percha, and an aluminium (Al) step wedge were obtained from radiographic images using image analysis software.

STATISTICAL ANALYSIS

The radiographic density data were analyzed statistically by analysis of variance and Tukey's test (α =0.05).

RESULTS

Significant differences were found between ASE and all other groups tested and between XE and CF. No statistical difference was observed between the radiodensity of 1 mm of Al and 1 mm of dentin, between 2 mm of Al and enamel, and between 5 mm of Al and gutta-percha. Five of the six adhesive resins had radiopacity values that fell below the value for dentin, whereas the radiopacity of ASE adhesive was greater than that of dentin but below that of enamel.

CONCLUSION

This investigation demonstrates that only ASE presented a radiopacity within the values of dentin and enamel. CF, XE, MB, SB, and SM adhesives are all radiolucent and require alterations to their composition to facilitate their detection by means of radiographic images.

Current perspectives of nanoparticles in medical and dental biomaterials

Nanotechnology is gaining tremendous impetus due to its capability of modulating metals into their nanosize, which drastically changes the chemical, physical and optical properties of metals. Nanoparticles have been introduced as materials with good potential to be extensively used in biological and medical applications. Nanoparticles are clusters of atoms in the size range of 1-100 nm. Inorganic nanoparticles and their nano-composites are applied as good antibacterial agents. Due to the outbreak of infectious diseases caused by different pathogenic bacteria and the development of antibiotic resistance, pharmaceutical companies and researchers are searching for new antibacterial agents. The metallic nanoparticles are the most promising as they show good antibacterial properties due to their large surface area to volume ratios, which draw growing interest from researchers due to increasing microbial resistance against metal ions, antibiotics and the development of resistant strains. Metallic nanoparticles can be used as effective growth inhibitors in various microorganisms and thereby are applicable to diverse medical devices. Nanotechnology discloses the use of elemental nanoparticles as active antibacterial ingredient for dental materials. In dentistry, both restorative materials and oral bacteria are believed to be responsible for restoration failure. Secondary caries is found to be the main reason to restoration failure. Secondary caries is primarily caused by invasion of plaque bacteria (acid-producing bacteria) such as Streptococcus mutans and lactobacilli in the presence of fermentable carbohydrates. To make long-lasting restorations, antibacterial materials should be made. The potential of nanoparticles to control the formation of biofilms within the oral cavity is also coming under increasing scrutiny. Possible uses of nanoparticles as topically applied agents within dental materials and the application of nanoparticles in the control of oral infections are also reviewed.

Comparison of polymer-based temporary crown and fixed partial denture materials by diametral tensile strength

PURPOSE

The purpose of this study was to investigate the diametral tensile strength of polymer-based temporary crown and fixed partial denture (FPD) materials, and the change of the diametral tensile strength with time.

MATERIAL AND METHODS

One monomethacrylate-based temporary crown and FPD material (Trim) and three dimethacrylate-based ones (Protemp 3 Garant, Temphase, Luxtemp) were investigated. 20 specimens (ø 4 mm × 6 mm) were fabricated and randomly divided into two groups (Group I: Immediately, Group II: 1 hour) according to the measurement time after completion of mixing. Universal Testing Machine was used to load the specimens at a cross-head speed of 0.5 mm/min. The data were analyzed using one-way ANOVA, the multiple comparison Scheffe test and independent sample t test (α = 0.05).

RESULTS

Trim showed severe permanent deformation without an obvious fracture during loading at both times. There were statistically significant differences among the dimethacrylate-based materials. The dimethacrylate-based materials presented an increase in strength from 5 minutes to 1 hour and were as follows: Protemp 3 Garant (23.16 - 37.6 MPa), Temphase (22.27 - 28.08 MPa), Luxatemp (14.46 - 20.59 MPa). Protemp 3 Garant showed the highest value.

CONCLUSION

The dimethacrylate-based temporary materials tested were stronger in diametral tensile strength than the monomethacrylate-based one. The diametral tensile strength of the materials investigated increased with time.

Comparative radiopacity of six flowable resin composites

OBJECTIVE

This study investigated the radiopacity of six commercially available flowable composites by using a digital image analysis method to determine the mean gray values of the materials.

METHODS

The flowable resin composites evaluated in this study were Clearfil Majesty Flow, Estelite Flow Q, Tetric N Flow, Esthet X Flow, Filtek Supreme XT Flow and Gradia Direct LoFlo. Ten sample discs (6 x 1 mm) for each group were prepared and 1-mm thick slices were obtained from freshly-extracted teeth for the control group. The mean gray values (MGVs) of each specimen and aluminum (Al) stepwedge were measured by using the histogram function of a computer graphics program. Analysis of variance (ANOVA) was used to investigate the significance of the differences among the groups. For pairwise comparisons, the Tukey test was applied (alpha=0.05).

RESULTS

The radiopacity values of Gradia Direct LoFlo, dentin and Estelite Flow Q were close to that of 1 mm Al. Tetric N Flow and Cl Majesty Flow were more radiopaque than enamel, whereas Filtek Supreme XT Flow had a similar radiopacity to enamel.

CONCLUSION

The radiopacity of flowable composites varies considerably, and care must be taken when selecting an appropriate material to enable secondary caries detection under posterior composite restorations.

Determination of elastic modulus of demineralized resin-infiltrated dentin by self-etch adhesives

The purpose of this study was to determine ultrasonically the changes in elastic modulus of demineralized adhesive-infiltrated dentin. Dentin disks were obtained from bovine incisors and shaped into a rectangular form. The specimens were immersed in single-step self-etch adhesives, then stored in distilled water and run through thermal cycles between 5 and 60 degrees C. The longitudinal and shear wave sound velocities and the elastic modulus were determined using ultrasonic equipment composed of a pulser-receiver, transducers, and an oscilloscope. After 24 h of storage, the elastic modulus of mineralized dentin was 16.9 GPa and that of demineralized dentin was 2.1 GPa. The immersion of demineralized dentin in adhesives significantly increased the elastic modulus to 3.3-5.9 GPa. After 30,000 thermal cycles, the elastic modulus of dentin was 32.4 GPa, whereas that of demineralized adhesive infiltrated dentin was 3.1-4.1 GPa. Thermal stresses did not cause adhesive-infiltrated demineralized dentin to deteriorate, as measured by elastic modulus.

The effect of ceramic and porous fillers on the mechanical properties of experimental dental composites

OBJECTIVES

The purpose of this study was to investigate the effect of ceramic fillers (containing leucite crystals) and their porosity on the mechanical properties of a new experimental dental composite in order to compare with the properties of composites containing conventional glass fillers.

METHODS

In this study, experimental composites were prepared by mixing the silane-treated fillers with monomers. Experimental composites were divided into four groups according to their filler type, amount and porosity. The monomers were composed of 70% Bis-GMA and 30% TEGDMA by weight for all groups. Glass and leucite-containing-ceramic were prepared as different filler types. In order to make fillers porous, leucite-containing-ceramic fillers were treated with HF acid. Camphorquinone and DMAEMA were used as photo initiator system. Post-curing was done for all groups before mechanical testing. Degree of Conversion of composites was measured using FTIR spectroscopy. The diametral tensile strength (DTS), flexural strength and flexural modulus were measured and compared among the groups.

RESULTS

The results showed that the stronger and more porous filler has a positive effect on flexural strength. Porosity of filler increased flexural strength significantly. No significant difference was found in DTS tests among the groups. Flexural modulus was affected and increased by using ceramic fillers. The type of the filler affected the DC of the composite and DC increased by post-curing.

SIGNIFICANCE

Flexural strength is one of the most important properties of restorative dental materials. Higher flexural strength can be achieved by stronger and more porous fillers. Investigation into the effect of filler on dental material properties would be beneficial in the development of restorative dental material.